Serendestiny Enterprise Llc in Naperville - Clinical Genetics (m.d.)
Serendestiny Enterprise Llc - NPI 1043474893
Serendestiny Enterprise Llc is a Clinical Genetics (m.d.) in Naperville, Illinois. Serendestiny Enterprise Llc practices all healthcare services and medical treatments related to Clinical Genetics (m.d.). The NPI Number for Serendestiny Enterprise Llc is 1043474893. The last update date is 2008-07-10.
Serendestiny Enterprise Llc's current location address is 355 Vanilla Grass Drive, Naperville, Illinois. You can contact this provider via phone number 6309223922 and fax number 6309223923. The mailing address for Serendestiny Enterprise Llc is 355 Vanilla Grass Drive, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Serendestiny Enterprise Llc |
|---|---|
| Address | 355 Vanilla Grass Drive, Naperville, Illinois |
| Phone Number | 6309223922 |
| Fax Number | 6309223923 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jazmines Dizon Lydia |
| Credentials | MD |
| Telephone Number | 6309223922 |
NPI Number Detail
| NPI Number | 1043474893 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 355 Vanilla Grass Drive |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605648331 |
| Phone Number | 6309223922 |
| Fax Number | 6309223923 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Genetics (m.d.) |
|---|---|
| Taxonomy | 207Sg0201X |
| Licence No | 36055400 |
|
Definition: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36055400 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Serendestiny Enterprise Llc by the Centers for Medicare & Medicaid Services?
The Serendestiny Enterprise Llc has been assigned the NPI (National Provider Identifier) 1043474893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Serendestiny Enterprise Llc's physical address?
The Serendestiny Enterprise Llc is physically located at 355 Vanilla Grass Drive, in the city of Naperville, IL, with the postal code 605648331.
What is Serendestiny Enterprise Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Serendestiny Enterprise Llc's area of specialization is Clinical Genetics (m.d.), and the corresponding taxonomy code that categorizes this field of practice is 207Sg0201X.
On what date did the Serendestiny Enterprise Llc receive the assignment of its 1043474893 from the Centers for Medicare & Medicaid Services?
The Serendestiny Enterprise Llc was issued its 1043474893 by the Centers for Medicare & Medicaid Services on 2008-07-10.
When was the information pertaining to Serendestiny Enterprise Llc most recently updated or revised?
The details related to Serendestiny Enterprise Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-10.